| NPI | 1700018777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE LEIGH BAKER Family Practice Physician 910-343-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200300311) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2016-11-30 |